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NPI Code Detail

MEDICARE: AIDAN LOZANO

MEDICARE:   AIDAN  LOZANO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianBACB650250OK

General Provider Information

NPI Number : 1558960930
Entity Type Code : Individual
Provider Name (Legal Business Name) : AIDAN LOZANO
Provider Business Mailing Address
First Line : 2222 W HEFNER RD STE E
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-7622
Country : US
Telephone Number : 405-605-2663
Fax Number : 405-562-3753
Provider Business Practice Location Address
First Line : 2222 W HEFNER RD STE E
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-7622
Country : US
Telephone Number : 405-830-1210
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2020
Last Update Date : 09/03/2025

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Directions to “ AIDAN LOZANO ” Practice Location

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